Progress of the operation
Laparoscopically, through three punctures, the surgeon finds the urachus in the midline under the peritoneum, cuts it off at the navel (in the case of a fistula, with excision of the umbilical opening) and excretes it down to the bladder; if the duct communicates with the bladder or forms a diverticulum, the tip of the bladder is resected and sutured with a double-row suture with a catheter for 3–7 days. The drug is removed in a container and sent for histology. Open access through an incision below the navel is chosen for large suppurating cysts and adhesions. Recovery - 2-3 weeks.
Urachal anomalies
The urachus is an embryonic duct between the bladder and the navel, which normally closes before birth. In case of incomplete fusion, a cyst, umbilical fistula with urine leakage, diverticulum of the bladder apex or sinus are formed. They are manifested by discharge and inflammation of the navel, pain, suppuration of the cyst, urinary tract infections, and in adulthood a rare but aggressive tumor can develop in the remaining urachus - therefore the anomaly is excised completely.
After surgery
After laparoscopic excision, the patient spends 2-3 days in the hospital, after open - 3-4; when resecting a section of a bladder, the catheter remains in place for 3–7 days. Relapses after complete removal practically do not occur. Histology confirms benignity.
